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Introduction to E-Monitoring for Healthcare
Published in Govind Singh Patel, Seema Nayak, Sunil Kumar Chaudhary, Machine Learning, Deep Learning, Big Data, and Internet of Things for Healthcare, 2023
Seema Nayak, Shamla Mantri, Manoj Nayak, Amrita Rai
Healthcare organizations and hospitals often deal with many patients, with multiple support personnel performing various tasks. Accurate identification of patients and staff is required to achieve proper data management. Proper innovation and classification of all IoT devices on a healthcare provider’s network helps guard against this risk. Once IoT device networks are properly identified, classified, regulated, and secured, managers can track device behaviour to identify anomalies and perform risk assessments.
Hospital Systems
Published in Salvatore Volpe, Health Informatics, 2022
The EHR itself can have many appendages. There are numerous small devices and technologies that interact with the EHR in a patient’s care. Vital signs equipment measures pulse, oxygen level, and blood pressure. Other equipment includes spirometers, fetal monitors, ventilators, and infusion pumps. There are point-of-care (POC) testing devices such as glucometers, portable x-rays, and portable EKG machines. Identification technology such as RTLS (real-time locating system) and RFID (radio frequency ID), barcodes, and biometrics as well as signature pads can be used to identify patients, clinicians, and equipment. Data input technology such as smart phones, tablets, kiosks, and dictation systems are also used. Workstations on wheels (WOW), high-resolution viewing stations, and mobile devices like wireless tablets allow clinicians to interact more efficiently with the EHR in the workplace. Telemedicine technology has also become commonplace in the hospital setting. A primary use case for telemedicine is to provide the ability for specialists to consult remotely – this is useful for in demand specialists such as radiologists and psychiatrists. It is also especially useful for the rural hospital where specialists are scarcer. Technology in a hospital room could include floors that detect a patient falling, beds that can monitor a patient’s vital signs, and technologies that listen and respond to patient and clinician commands.
Neuromuscular Laboratory
Published in Maher Kurdi, Neuromuscular Pathology Made Easy, 2021
Other devices for barcode printing and patient sample labeling are mandated to preserve patient identification. Barcode label printers are available from several manufacturers. Because the muscle or nerve pieces are received frozen and segmented, paraffin-associated tissue processing technology (e.g., tissue processor for embedding, trimmer, or surgical microtome) is not usually required in the NML. However, the tissue processor in the general pathology lab can be used when paraffin-embedded samples are needed. Paraffin-embedded sections are sometimes preferred during nerve biopsy processing using Luxol fast blue (LFB) or silver impregnation stains.
Digital health technology used in emergency large-scale vaccination campaigns in low- and middle-income countries: a narrative review for improved pandemic preparedness
Published in Expert Review of Vaccines, 2023
Paula Mc Kenna, Lindsay A. Broadfield, Annik Willems, Serge Masyn, Theresa Pattery, Ruxandra Draghia-Akli
Many people worldwide, especially those living in LMICs, lack an official proof of identity [63]. For vaccine delivery, it is critical to reliably verify the identity of the individuals to avoid inaccurate vaccine tracking and delivery and to reduce duplicate medical records and record falsification [64,65]. Digital health tools help provide reliable identification in a safe way in a large-scale vaccination campaign in emergency settings. Biometrics are commonly used for identification with various technologies developed and implemented to identify individuals using fingerprints, iris, face, and voice recognition [66]. Based upon the learnings from recent Ebola outbreaks, it is important that biometric tools can be contactless, like iris scanning or facial recognition [27]. In the case of highly transmissible infectious pathogens, fingerprinting can represent a risk of transmission and may require additional hygiene measures to reduce this risk [67]. Numerous biometric-based identification methods exist and could be integrated into a tool for a vaccine campaign.
The experiences of cardiac surgery critical care clinicians with in-bed cycling in adult patients undergoing complex cardiac surgery
Published in Disability and Rehabilitation, 2022
Anastasia N. L. Newman, Michelle E. Kho, Jocelyn E. Harris, Alison Fox-Robichaud, Patricia Solomon
Participants’ willingness to utilize in-bed cycling was influenced by both their previous experiences with the bike as well as whether or not they felt it was being implemented at the “right” time and with the “ideal” patient. There was little agreement on the timing of the interventions with opinions ranging from early in a patient’s illness to closer to ICU discharge. Establishing when cycling should be initiated with a critically ill patient post cardiac surgery is complex and will likely depend on a multitude of variables, including comorbid conditions, current acuity, medical devices in situ, and the number and amount of critical care medications required to maintain hemodynamic stability. Proper identification of appropriate patients likely involves input from the multi-disciplinary care team. Larger studies of this population could help shed light on when cycling should be initiated.
Impact of information system integration on the healthcare management and medical services
Published in International Journal of Healthcare Management, 2021
With the increase of information systems applied by medical institutions, how to break the information isolated islands and realize sharing surpassing regional space based on the massive data generated in the system, that is, to achieve IS integration, has become a new demand in the medical industry. With the issue of patient identification as an example, to identify the corresponding data of patientsin the medical information system, medical institutions more often use the patients’ names, dates of birth and other information for matching, but it often lacks uniqueness. Therefore, it is necessary to establish Unique Patient Identifier (UPID) [42]. Some hospitals in China have achieved unified recognition of the UPID within the hospital, but to achieve an open and extensible UPID to support medical services to achieve unified application across regions and even across multiple hospitals is difficult. This also easily leads to problems such as misdiagnosis, inappropriate diagnosis and treatment, and difficulty in improving the quality of diagnosis and treatment [42]. Even within a single institution, IS integration also has certain hidden dangers. Studies have shown that Health Information System (HIS) can realize the integration of multi-system data within medical institutions. However, in the actual work of the system, there is also the possibility of errors such as data failure and operation failure. Particularly, occurrence of HIS errors exerts tremendous negative impact on medical institutions [43].